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General NPI Number Information
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NPI Number | 1891984795
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Entity Type | Individual
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Provider Name | SHEILA DAVIS MD, MSPH, PHD, JDC
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Gender | Female
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Dates
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Enumeration Date | 10/17/2007
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 4507 FURLING LN STE 213
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City | DESTIN
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State | FL
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Zip | 32541-5343
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Country | US
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Telephone | 850-281-8186
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Fax | 850-360-8300
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Provider Business Mailing Address
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Address Line | 4507 FURLING LN STE 213
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City | DESTIN
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State | FL
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Zip | 32541-5343
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Country | US
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Telephone | 850-281-8186
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Fax | 850-360-8300
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | ME100163
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RA0401X
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Taxonomy Name | Addiction Medicine (Internal Medicine) Physician
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License Number | ME100163
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License Number State | FL
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